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Acute Care Hospital

Novant Health East Cooper Medical Center

Mount Pleasant, South Carolina · Charleston County · Emergency services listed

Summary

Novant Health East Cooper Medical Center is an acute care hospital in Mount Pleasant, South Carolina. Medicare data lists emergency services. CMS overall star rating: 4 of 5 stars. Its official website lists 43 services, specialties and programs. Medicare lists 249 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

A general hospital for short-term care: emergencies, surgery, illness and injury. Most patients stay a few days. More about hospital types

Call(843) 881‑0100 Directions Website Medicare profile
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Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-11-02). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

YesEmergency services
4 of 5 stars4 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
249Doctors and clinicians
43Services listed

Quick answers

Does Novant Health East Cooper Medical Center have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Novant Health East Cooper Medical Center. In a medical emergency, call 911.
Where is Novant Health East Cooper Medical Center?
2000 Hospital Dr, Mount Pleasant, SC 29464, in Charleston County, South Carolina.
What is the phone number of Novant Health East Cooper Medical Center?
(843) 881-0100, as listed by Medicare (CMS).
What is the Medicare star rating of Novant Health East Cooper Medical Center?
4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][5][6][7][8][9]

Conditions treated[7][8]

Treatments[7][8]

  • Inpatient rehabilitation
  • Physical therapy
  • Occupational therapy
  • Speech-language pathology
  • Rehabilitation after hip or knee replacement
  • Virtual reality therapy
  • Lactation and breastfeeding support
  • Labor pain management
  • Emergency obstetrics
  • Newborn special care: incubation, tube feeding, respiratory therapy
  • Bereavement support

Procedures[7]

Programs and centers[4][7][8][9]

  • Primary Stroke Center program
  • 10-bed inpatient rehabilitation unit
  • Level II special care nursery (NICU)
  • Rest Easy rooms for parents of nursery babies
  • Maternity, childbirth, breastfeeding and infant CPR classes and tours
  • Doula verification
  • Volunteer program

Emergency care (hospital website)[5]

Stroke designationAdvanced Primary Stroke Center

Visiting and practical information

VisitingVisiting hours vary by patient need or unit; confirm with the care team[4]
ParkingParking is directly in front of the hospital (stated on the inpatient rehab page)[8]
Interpreters and languagesThe patient page says staff can help if you need someone to interpret for you[10]

Recognition[5][9]

  • Advanced Primary Stroke Center (The Joint Commission)
  • Zero Harm Certification (South Carolina Hospital Association)
  • Surgical Quality Partner (American College of Surgeons)
  • Primary Stroke Center (The Joint Commission)
  • Certified Zero Harm Award (South Carolina Hospital Association, 2025 and 2024)
  • Fall 2025 "A" Hospital Safety Grade (Leapfrog Group)
  • 2026 America's Best Maternity Hospitals (Newsweek)
  • 2026 America's Best Hospitals for Specialized Care: Orthopedic Care (Newsweek)
  • 2026 America's Best-in-State Hospitals (Newsweek)

Doctors and clinicians (249)

249 doctors and other clinicians list Novant Health East Cooper Medical Center as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (249)

And 225 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

Licensed homes from the official state licence list, by straight-line distance.

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Novant Health East Cooper Medical Center reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Summary star rating (all survey topics) 4 of 5 stars
Overall rating of the hospital4 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well4 of 5 stars
Doctors communicated well4 of 5 stars
Staff explained medicines3 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean3 of 5 stars
Quiet at night4 of 5 stars
Rated the hospital 9 or 10 out of 1073%National average: 72%
Would definitely recommend the hospital75%National average: 71%
Nurses “always” communicated well82%National average: 80%
Doctors “always” communicated well82%National average: 80%
Staff “always” explained medicines before giving them62%National average: 62%
Were given information about recovery at home86%National average: 86%
Room and bathroom “always” clean67%National average: 74%
Area around the room “always” quiet at night70%National average: 60%
Completed surveys479Response rate: 19%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)Not reported to Medicare
Surgical site infections after colon surgeryNot reported to Medicare
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infectionsNot reported to Medicare
Clostridioides difficile (C. diff) intestinal infections0.35No different from the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart attack patientsToo few cases to report
Deaths within 30 days: heart failure patients9.7%
Deaths within 30 days: pneumonia patients16.4%
Deaths within 30 days: COPD patients8.4%
Deaths within 30 days: stroke patients11.2%
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)1No different from the national rate
Complications after hip or knee replacement5.1%

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attackToo few cases to report
Readmitted within 30 days: heart failure21.3%
Readmitted within 30 days: pneumonia18.4%
Readmitted within 30 days: COPD19.9%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacement6.2%

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)143 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)86%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in Mount PleasantBest hospitals in South Carolina

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 86 common services exactly as Novant Health East Cooper Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean
Hospital charge
The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price
The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates
The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees
A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW LOW 30 MIN Not listed in the file $136.36 $72.62 – $136.36
New patient office visit (about 30–44 minutes): 10 of 30 insurance plan rates
  • Aetna — Medicare Advantage: $72.62
  • BlueCross BlueShield of South Carolina — State Health Plan: $136.36
  • Absolute Total Care — Medicaid: 20.83% (a percentage in the contract, not a dollar amount)
  • Aetna — ACA: 50% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna Whole Health: 50% (a percentage in the contract, not a dollar amount)
  • Aetna — ASA: 65.5% (a percentage in the contract, not a dollar amount)
  • Aetna — Commercial: 36.9% (a percentage in the contract, not a dollar amount)
  • Aetna — FH: 65.5% (a percentage in the contract, not a dollar amount)
  • Aetna — NAP: 65.5% (a percentage in the contract, not a dollar amount)
  • Aetna — Non-Par Products of APCN: 50% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW MOD 45 MIN Not listed in the file $188.70 $123.38 – $188.70
New patient office visit (about 45–59 minutes): 10 of 30 insurance plan rates
  • Aetna — Medicare Advantage: $123.38
  • BlueCross BlueShield of South Carolina — State Health Plan: $188.70
  • Absolute Total Care — Medicaid: 20.83% (a percentage in the contract, not a dollar amount)
  • Aetna — ACA: 50% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna Whole Health: 50% (a percentage in the contract, not a dollar amount)
  • Aetna — ASA: 65.5% (a percentage in the contract, not a dollar amount)
  • Aetna — Commercial: 36.9% (a percentage in the contract, not a dollar amount)
  • Aetna — FH: 65.5% (a percentage in the contract, not a dollar amount)
  • Aetna — NAP: 65.5% (a percentage in the contract, not a dollar amount)
  • Aetna — Non-Par Products of APCN: 50% (a percentage in the contract, not a dollar amount)
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW HI 60 MIN Not listed in the file $255.41 $161.05 – $255.41
New patient office visit (about 60–74 minutes): 10 of 30 insurance plan rates
  • Aetna — Medicare Advantage: $161.05
  • BlueCross BlueShield of South Carolina — State Health Plan: $255.41
  • Absolute Total Care — Medicaid: 20.83% (a percentage in the contract, not a dollar amount)
  • Aetna — ACA: 50% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna Whole Health: 50% (a percentage in the contract, not a dollar amount)
  • Aetna — ASA: 65.5% (a percentage in the contract, not a dollar amount)
  • Aetna — Commercial: 36.9% (a percentage in the contract, not a dollar amount)
  • Aetna — FH: 65.5% (a percentage in the contract, not a dollar amount)
  • Aetna — NAP: 65.5% (a percentage in the contract, not a dollar amount)
  • Aetna — Non-Par Products of APCN: 50% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P EST LOW 20 MIN Not listed in the file $108.50 $49.01 – $108.50
Established patient office visit (about 20–29 minutes): 10 of 30 insurance plan rates
  • Aetna — Medicare Advantage: $49.01
  • BlueCross BlueShield of South Carolina — State Health Plan: $108.50
  • Absolute Total Care — Medicaid: 20.83% (a percentage in the contract, not a dollar amount)
  • Aetna — ACA: 50% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna Whole Health: 50% (a percentage in the contract, not a dollar amount)
  • Aetna — ASA: 65.5% (a percentage in the contract, not a dollar amount)
  • Aetna — Commercial: 36.9% (a percentage in the contract, not a dollar amount)
  • Aetna — FH: 65.5% (a percentage in the contract, not a dollar amount)
  • Aetna — NAP: 65.5% (a percentage in the contract, not a dollar amount)
  • Aetna — Non-Par Products of APCN: 50% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P EST MOD 30 MIN Not listed in the file $145.87 $75.67 – $145.87
Established patient office visit (about 30–39 minutes): 10 of 30 insurance plan rates
  • Aetna — Medicare Advantage: $75.67
  • BlueCross BlueShield of South Carolina — State Health Plan: $145.87
  • Absolute Total Care — Medicaid: 20.83% (a percentage in the contract, not a dollar amount)
  • Aetna — ACA: 50% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna Whole Health: 50% (a percentage in the contract, not a dollar amount)
  • Aetna — ASA: 65.5% (a percentage in the contract, not a dollar amount)
  • Aetna — Commercial: 36.9% (a percentage in the contract, not a dollar amount)
  • Aetna — FH: 65.5% (a percentage in the contract, not a dollar amount)
  • Aetna — NAP: 65.5% (a percentage in the contract, not a dollar amount)
  • Aetna — Non-Par Products of APCN: 50% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST LOW 30 Not listed in the file Not listed in the file $93.28
Office consultation with a specialist (moderate): 10 of 31 insurance plan rates
  • Aetna — Medicare Advantage: $93.28
  • Absolute Total Care — Medicaid: 20.83% (a percentage in the contract, not a dollar amount)
  • Aetna — ACA: 50% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna Whole Health: 50% (a percentage in the contract, not a dollar amount)
  • Aetna — ASA: 65.5% (a percentage in the contract, not a dollar amount)
  • Aetna — Commercial: 36.9% (a percentage in the contract, not a dollar amount)
  • Aetna — FH: 65.5% (a percentage in the contract, not a dollar amount)
  • Aetna — NAP: 65.5% (a percentage in the contract, not a dollar amount)
  • Aetna — Non-Par Products of APCN: 50% (a percentage in the contract, not a dollar amount)
  • BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): 18.8% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST MOD 40 Not listed in the file Not listed in the file $149.89
Office consultation with a specialist (moderate to high): 10 of 31 insurance plan rates
  • Aetna — Medicare Advantage: $149.89
  • Absolute Total Care — Medicaid: 20.83% (a percentage in the contract, not a dollar amount)
  • Aetna — ACA: 50% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna Whole Health: 50% (a percentage in the contract, not a dollar amount)
  • Aetna — ASA: 65.5% (a percentage in the contract, not a dollar amount)
  • Aetna — Commercial: 36.9% (a percentage in the contract, not a dollar amount)
  • Aetna — FH: 65.5% (a percentage in the contract, not a dollar amount)
  • Aetna — NAP: 65.5% (a percentage in the contract, not a dollar amount)
  • Aetna — Non-Par Products of APCN: 50% (a percentage in the contract, not a dollar amount)
  • BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): 18.8% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 18-39 Not listed in the file Not listed in the file $95.38
Preventive checkup, new patient, age 18–39: 10 of 27 insurance plan rates
  • Aetna — Medicare Advantage: $95.38
  • Absolute Total Care — Medicaid: 20.83% (a percentage in the contract, not a dollar amount)
  • Aetna — ACA: 50% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna Whole Health: 50% (a percentage in the contract, not a dollar amount)
  • Aetna — ASA: 65.5% (a percentage in the contract, not a dollar amount)
  • Aetna — Commercial: 36.9% (a percentage in the contract, not a dollar amount)
  • Aetna — FH: 65.5% (a percentage in the contract, not a dollar amount)
  • Aetna — NAP: 65.5% (a percentage in the contract, not a dollar amount)
  • Aetna — Non-Par Products of APCN: 50% (a percentage in the contract, not a dollar amount)
  • BlueCross BlueShield of South Carolina — State Health Plan: 50% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 40-64 Not listed in the file Not listed in the file $116.01
Preventive checkup, new patient, age 40–64: 10 of 27 insurance plan rates
  • Aetna — Medicare Advantage: $116.01
  • Absolute Total Care — Medicaid: 20.83% (a percentage in the contract, not a dollar amount)
  • Aetna — ACA: 50% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna Whole Health: 50% (a percentage in the contract, not a dollar amount)
  • Aetna — ASA: 65.5% (a percentage in the contract, not a dollar amount)
  • Aetna — Commercial: 36.9% (a percentage in the contract, not a dollar amount)
  • Aetna — FH: 65.5% (a percentage in the contract, not a dollar amount)
  • Aetna — NAP: 65.5% (a percentage in the contract, not a dollar amount)
  • Aetna — Non-Par Products of APCN: 50% (a percentage in the contract, not a dollar amount)
  • BlueCross BlueShield of South Carolina — State Health Plan: 50% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT LOW MDM Not listed in the file $440.87 $253.89 – $2,127
Emergency room visit (moderate): 10 of 42 insurance plan rates
  • Absolute Total Care — Marketplace: $418.92
  • Absolute Total Care — Medicare Advantage: $253.89
  • Absolute Total Care — MMP: $253.89
  • Aetna — Medicare Advantage: $253.89
  • BlueCross BlueShield of South Carolina — State Health Plan: $440.87
  • Cigna — HealthSpring: $261.51
  • Cigna — HMOOPA: $1,883
  • Cigna — PPO: $2,127
  • Clover Insurance Company — HMO MA: $264.05
  • Clover Insurance Company — PPO MA: $264.05
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT MOD MDM Not listed in the file $702.29 $388.09 – $741.25
Emergency room visit (moderately high): 10 of 42 insurance plan rates
  • Absolute Total Care — Marketplace: $640.35
  • Absolute Total Care — Medicare Advantage: $388.09
  • Absolute Total Care — MMP: $388.09
  • Aetna — Medicare Advantage: $388.09
  • BlueCross BlueShield of South Carolina — State Health Plan: $702.29
  • Cigna — HealthSpring: $399.73
  • Clover Insurance Company — HMO MA: $403.61
  • Clover Insurance Company — PPO MA: $403.61
  • Devoted Health — HMO MA: $388.09
  • Devoted Health — PPO MA: $388.09
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT HI MDM Not listed in the file $1,043.47 $553.89 – $1,057.93
Emergency room visit (high): 10 of 42 insurance plan rates
  • Absolute Total Care — Marketplace: $913.92
  • Absolute Total Care — Medicare Advantage: $553.89
  • Absolute Total Care — MMP: $553.89
  • Aetna — Medicare Advantage: $553.89
  • BlueCross BlueShield of South Carolina — State Health Plan: $1,043.47
  • Cigna — HealthSpring: $570.51
  • Clover Insurance Company — HMO MA: $576.05
  • Clover Insurance Company — PPO MA: $576.05
  • Devoted Health — HMO MA: $553.89
  • Devoted Health — PPO MA: $553.89

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: METABOLIC PANEL TOTAL CA Not listed in the file $31.25 $8.46 – $55.62
Basic metabolic panel (blood test): 10 of 42 insurance plan rates
  • Absolute Total Care — Marketplace: $13.96
  • Absolute Total Care — Medicaid: $11.46
  • Absolute Total Care — Medicare Advantage: $8.46
  • Absolute Total Care — MMP: $8.46
  • Aetna — Medicare Advantage: $8.46
  • BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $55.62
  • BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $46.80
  • BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $55.62
  • BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $46.80
  • BlueCross BlueShield of South Carolina — State Health Plan: $31.25
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHEN METABOLIC PANEL Not listed in the file $35.71 $10.56 – $150.75
Comprehensive metabolic panel (blood test): 10 of 42 insurance plan rates
  • Absolute Total Care — Marketplace: $17.42
  • Absolute Total Care — Medicaid: $12.94
  • Absolute Total Care — Medicare Advantage: $10.56
  • Absolute Total Care — MMP: $10.56
  • Aetna — Medicare Advantage: $10.56
  • BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $150.75
  • BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $59.67
  • BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $150.75
  • BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $59.67
  • BlueCross BlueShield of South Carolina — State Health Plan: $35.71
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL Not listed in the file $58.99 $30.02 – $91.32
Obstetric blood test panel: 10 of 42 insurance plan rates
  • Absolute Total Care — Marketplace: $78.89
  • Absolute Total Care — Medicaid: $31.52
  • Absolute Total Care — Medicare Advantage: $47.81
  • Absolute Total Care — MMP: $47.81
  • Aetna — Medicare Advantage: $47.81
  • BlueCross BlueShield of South Carolina — State Health Plan: $58.99
  • Cigna — HealthSpring: $49.24
  • Cigna — HMOOPA: $48.87
  • Cigna — PPO: $48.87
  • Clover Insurance Company — HMO MA: $49.72
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL Not listed in the file $41.90 $12.64 – $73.86
Cholesterol panel (lipid panel): 10 of 42 insurance plan rates
  • Absolute Total Care — Marketplace: $22.09
  • Absolute Total Care — Medicaid: $13.27
  • Absolute Total Care — Medicare Advantage: $13.39
  • Absolute Total Care — MMP: $13.39
  • Aetna — Medicare Advantage: $13.39
  • BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $73.86
  • BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $58.50
  • BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $73.86
  • BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $58.50
  • BlueCross BlueShield of South Carolina — State Health Plan: $41.90
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL Not listed in the file $35.68 $8.68 – $35.68
Kidney function panel: 10 of 42 insurance plan rates
  • Absolute Total Care — Marketplace: $14.32
  • Absolute Total Care — Medicaid: $11.75
  • Absolute Total Care — Medicare Advantage: $8.68
  • Absolute Total Care — MMP: $8.68
  • Aetna — Medicare Advantage: $8.68
  • BlueCross BlueShield of South Carolina — State Health Plan: $35.68
  • Cigna — HealthSpring: $8.94
  • Cigna — HMOOPA: $10.15
  • Cigna — PPO: $10.15
  • Clover Insurance Company — HMO MA: $9.03
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL Not listed in the file $38.30 $8.17 – $53.33
Liver function panel: 10 of 42 insurance plan rates
  • Absolute Total Care — Marketplace: $13.48
  • Absolute Total Care — Medicaid: $11.06
  • Absolute Total Care — Medicare Advantage: $8.17
  • Absolute Total Care — MMP: $8.17
  • Aetna — Medicare Advantage: $8.17
  • BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $53.33
  • BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $46.80
  • BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $53.33
  • BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $46.80
  • BlueCross BlueShield of South Carolina — State Health Plan: $38.30
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/SCOPE Not listed in the file $12.49 $3.17 – $73.64
Urine test (automated, with microscope): 10 of 42 insurance plan rates
  • Absolute Total Care — Marketplace: $5.23
  • Absolute Total Care — Medicaid: $4.27
  • Absolute Total Care — Medicare Advantage: $3.17
  • Absolute Total Care — MMP: $3.17
  • Aetna — Medicare Advantage: $3.17
  • BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $39.11
  • BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $73.64
  • BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $39.11
  • BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $73.64
  • BlueCross BlueShield of South Carolina — State Health Plan: $12.49
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS NONAUTO W/O SCOPE Not listed in the file $9.81 $2.99 – $9.81
Urine test (manual, without microscope): 10 of 42 insurance plan rates
  • Absolute Total Care — Marketplace: $5.74
  • Absolute Total Care — Medicaid: $3.45
  • Absolute Total Care — Medicare Advantage: $3.48
  • Absolute Total Care — MMP: $3.48
  • Aetna — Medicare Advantage: $3.48
  • BlueCross BlueShield of South Carolina — State Health Plan: $9.81
  • Cigna — HealthSpring: $3.58
  • Cigna — HMOOPA: $2.99
  • Cigna — PPO: $2.99
  • Clover Insurance Company — HMO MA: $3.62
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/O SCOPE Not listed in the file $10.69 $2.25 – $35.85
Urine test (automated, without microscope): 10 of 42 insurance plan rates
  • Absolute Total Care — Marketplace: $3.71
  • Absolute Total Care — Medicaid: $3.05
  • Absolute Total Care — Medicare Advantage: $2.25
  • Absolute Total Care — MMP: $2.25
  • Aetna — Medicare Advantage: $2.25
  • BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $19.03
  • BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $35.85
  • BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $19.03
  • BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $35.85
  • BlueCross BlueShield of South Carolina — State Health Plan: $10.69
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY OF PSA TOTAL Not listed in the file $76.68 $18.39 – $76.68
PSA (prostate specific antigen) blood test: 10 of 42 insurance plan rates
  • Absolute Total Care — Marketplace: $30.34
  • Absolute Total Care — Medicaid: $24.90
  • Absolute Total Care — Medicare Advantage: $18.39
  • Absolute Total Care — MMP: $18.39
  • Aetna — Medicare Advantage: $18.39
  • BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $66.14
  • BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $42.12
  • BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $66.14
  • BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $42.12
  • BlueCross BlueShield of South Carolina — State Health Plan: $76.68
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY THYROID STIM HORMONE Not listed in the file $59.85 $16.80 – $59.85
Thyroid stimulating hormone (TSH) test: 10 of 42 insurance plan rates
  • Absolute Total Care — Marketplace: $27.72
  • Absolute Total Care — Medicaid: $22.73
  • Absolute Total Care — Medicare Advantage: $16.80
  • Absolute Total Care — MMP: $16.80
  • Aetna — Medicare Advantage: $16.80
  • BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $48.32
  • BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $51.48
  • BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $48.32
  • BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $51.48
  • BlueCross BlueShield of South Carolina — State Health Plan: $59.85
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC W/AUTO DIFF WBC Not listed in the file $26.80 $7.77 – $42.12
Complete blood count (CBC) with differential: 10 of 42 insurance plan rates
  • Absolute Total Care — Marketplace: $12.82
  • Absolute Total Care — Medicaid: $10.04
  • Absolute Total Care — Medicare Advantage: $7.77
  • Absolute Total Care — MMP: $7.77
  • Aetna — Medicare Advantage: $7.77
  • BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $41.16
  • BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $42.12
  • BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $41.16
  • BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $42.12
  • BlueCross BlueShield of South Carolina — State Health Plan: $26.80
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC AUTOMATED Not listed in the file $21.44 $6.47 – $38.59
Complete blood count (CBC), automated: 10 of 42 insurance plan rates
  • Absolute Total Care — Marketplace: $10.68
  • Absolute Total Care — Medicaid: $8.06
  • Absolute Total Care — Medicare Advantage: $6.47
  • Absolute Total Care — MMP: $6.47
  • Aetna — Medicare Advantage: $6.47
  • BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $38.59
  • BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $32.76
  • BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $38.59
  • BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $32.76
  • BlueCross BlueShield of South Carolina — State Health Plan: $21.44
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME Not listed in the file $17.82 $4.29 – $45.92
Blood clotting time test (prothrombin time, PT): 10 of 42 insurance plan rates
  • Absolute Total Care — Marketplace: $7.08
  • Absolute Total Care — Medicaid: $5.31
  • Absolute Total Care — Medicare Advantage: $4.29
  • Absolute Total Care — MMP: $4.29
  • Aetna — Medicare Advantage: $4.29
  • BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $24.39
  • BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $45.92
  • BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $24.39
  • BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $45.92
  • BlueCross BlueShield of South Carolina — State Health Plan: $17.82
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PARTIAL Not listed in the file $22.32 $6.01 – $45.89
Blood clotting test (partial thromboplastin time, PTT): 10 of 42 insurance plan rates
  • Absolute Total Care — Marketplace: $9.92
  • Absolute Total Care — Medicaid: $8.13
  • Absolute Total Care — Medicare Advantage: $6.01
  • Absolute Total Care — MMP: $6.01
  • Aetna — Medicare Advantage: $6.01
  • BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $24.37
  • BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $45.89
  • BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $24.37
  • BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $45.89
  • BlueCross BlueShield of South Carolina — State Health Plan: $22.32

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT HEAD/BRAIN W/O DYE Not listed in the file $421.37 $97.24 – $946.90
CT scan of the head or brain, without contrast: 10 of 42 insurance plan rates
  • Absolute Total Care — Marketplace: $160.45
  • Absolute Total Care — Medicaid: $259.32
  • Absolute Total Care — Medicare Advantage: $97.24
  • Absolute Total Care — MMP: $97.24
  • Aetna — Medicare Advantage: $97.24
  • BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $502.86
  • BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $946.90
  • BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $502.86
  • BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $946.90
  • BlueCross BlueShield of South Carolina — State Health Plan: $421.37
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN STEM W/O & W/DYE Not listed in the file $1,131.61 $324.48 – $2,624.09
MRI of the brain, before and after contrast: 10 of 42 insurance plan rates
  • Absolute Total Care — Marketplace: $535.39
  • Absolute Total Care — Medicaid: $1,365.95
  • Absolute Total Care — Medicare Advantage: $324.48
  • Absolute Total Care — MMP: $324.48
  • Aetna — Medicare Advantage: $324.48
  • BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $1,393.53
  • BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $2,624.09
  • BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $1,393.53
  • BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $2,624.09
  • BlueCross BlueShield of South Carolina — State Health Plan: $1,131.61
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM CHEST 2 VIEWS Not listed in the file $109.66 $14.34 – $217.73
Chest X-ray, 2 views: 10 of 42 insurance plan rates
  • Absolute Total Care — Marketplace: $133.55
  • Absolute Total Care — Medicaid: $15.06
  • Absolute Total Care — Medicare Advantage: $80.94
  • Absolute Total Care — MMP: $80.94
  • Aetna — Medicare Advantage: $80.94
  • BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $115.63
  • BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $217.73
  • BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $115.63
  • BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $217.73
  • BlueCross BlueShield of South Carolina — State Health Plan: $109.66
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM L-2 SPINE 4/>VWS Not listed in the file $106.69 $47.83 – $362.61
X-ray of the lower spine, at least 4 views: 10 of 42 insurance plan rates
  • Absolute Total Care — Marketplace: $160.45
  • Absolute Total Care — Medicaid: $50.22
  • Absolute Total Care — Medicare Advantage: $97.24
  • Absolute Total Care — MMP: $97.24
  • Aetna — Medicare Advantage: $97.24
  • BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $192.57
  • BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $362.61
  • BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $192.57
  • BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $362.61
  • BlueCross BlueShield of South Carolina — State Health Plan: $106.69
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LUMBAR SPINE W/O DYE Not listed in the file $659.73 $221.92 – $1,695.46
MRI of the lower back (lumbar spine), without contrast: 10 of 42 insurance plan rates
  • Absolute Total Care — Marketplace: $366.17
  • Absolute Total Care — Medicaid: $686.41
  • Absolute Total Care — Medicare Advantage: $221.92
  • Absolute Total Care — MMP: $221.92
  • Aetna — Medicare Advantage: $221.92
  • BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $900.38
  • BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $1,695.46
  • BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $900.38
  • BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $1,695.46
  • BlueCross BlueShield of South Carolina — State Health Plan: $659.73
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W/DYE Not listed in the file $527.80 $163.14 – $1,499.36
CT scan of the pelvis, with contrast: 10 of 42 insurance plan rates
  • Absolute Total Care — Marketplace: $269.18
  • Absolute Total Care — Medicaid: $375.48
  • Absolute Total Care — Medicare Advantage: $163.14
  • Absolute Total Care — MMP: $163.14
  • Aetna — Medicare Advantage: $163.14
  • BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $796.24
  • BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $1,499.36
  • BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $796.24
  • BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $1,499.36
  • BlueCross BlueShield of South Carolina — State Health Plan: $527.80
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI JNT OF LWR EXTRE W/O DYE Not listed in the file $622.39 $221.92 – $1,695.46
MRI of a leg joint (such as the knee), without contrast: 10 of 42 insurance plan rates
  • Absolute Total Care — Marketplace: $366.17
  • Absolute Total Care — Medicaid: $614.99
  • Absolute Total Care — Medicare Advantage: $221.92
  • Absolute Total Care — MMP: $221.92
  • Aetna — Medicare Advantage: $221.92
  • BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $900.38
  • BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $1,695.46
  • BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $900.38
  • BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $1,695.46
  • BlueCross BlueShield of South Carolina — State Health Plan: $622.39
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD & PELV W/CONTRAST Not listed in the file $873.07 $278 – $2,998.77
CT scan of the abdomen and pelvis, with contrast: 10 of 42 insurance plan rates
  • Absolute Total Care — Marketplace: $535.39
  • Absolute Total Care — Medicaid: $375.48
  • Absolute Total Care — Medicare Advantage: $324.48
  • Absolute Total Care — MMP: $324.48
  • Aetna — Medicare Advantage: $324.48
  • BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $1,592.51
  • BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $2,998.77
  • BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $1,592.51
  • BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $2,998.77
  • BlueCross BlueShield of South Carolina — State Health Plan: $873.07
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US EXAM ABDOM COMPLETE Not listed in the file $210.48 $97.24 – $476.27
Ultrasound of the abdomen, complete: 10 of 42 insurance plan rates
  • Absolute Total Care — Marketplace: $160.45
  • Absolute Total Care — Medicaid: $108.31
  • Absolute Total Care — Medicare Advantage: $97.24
  • Absolute Total Care — MMP: $97.24
  • Aetna — Medicare Advantage: $97.24
  • BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $252.93
  • BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $476.27
  • BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $252.93
  • BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $476.27
  • BlueCross BlueShield of South Carolina — State Health Plan: $210.48
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB US >= 14 WKS SNGL FETUS Not listed in the file $148.18 $97.24 – $428.65
Pregnancy ultrasound (after the first trimester): 10 of 42 insurance plan rates
  • Absolute Total Care — Marketplace: $160.45
  • Absolute Total Care — Medicaid: $115.30
  • Absolute Total Care — Medicare Advantage: $97.24
  • Absolute Total Care — MMP: $97.24
  • Aetna — Medicare Advantage: $97.24
  • BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $227.63
  • BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $428.65
  • BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $227.63
  • BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $428.65
  • BlueCross BlueShield of South Carolina — State Health Plan: $148.18
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TRANSVAGINAL US NON-OB Not listed in the file $263.90 $79.74 – $476.27
Transvaginal ultrasound: 10 of 42 insurance plan rates
  • Absolute Total Care — Marketplace: $160.45
  • Absolute Total Care — Medicaid: $83.73
  • Absolute Total Care — Medicare Advantage: $97.24
  • Absolute Total Care — MMP: $97.24
  • Aetna — Medicare Advantage: $97.24
  • BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $252.93
  • BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $476.27
  • BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $252.93
  • BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $476.27
  • BlueCross BlueShield of South Carolina — State Health Plan: $263.90
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD UNI Not listed in the file Not listed in the file $31.34 – $148.61
Diagnostic mammogram, one breast: 10 of 31 insurance plan rates
  • Absolute Total Care — Medicaid: $32.91
  • Aetna — Medicare Advantage: $106.85
  • BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $78.92
  • BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $148.61
  • BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $78.92
  • BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $148.61
  • Humana — Medicaid: $31.34
  • Molina — Medicaid: $31.34
  • Select Health — Medicaid: $31.34
  • United Healthcare — All Other Plans: $91.42
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD BI Not listed in the file Not listed in the file $39.39 – $275.83
Diagnostic mammogram, both breasts: 10 of 31 insurance plan rates
  • Absolute Total Care — Medicaid: $41.36
  • Aetna — Medicare Advantage: $135.19
  • BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $146.48
  • BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $275.83
  • BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $146.48
  • BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $275.83
  • Humana — Medicaid: $39.39
  • Molina — Medicaid: $39.39
  • Select Health — Medicaid: $39.39
  • United Healthcare — All Other Plans: $116.89
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCR MAMMO BI INCL CAD Not listed in the file $148.42 $33.92 – $159.41
Screening mammogram, both breasts: 10 of 30 insurance plan rates
  • Absolute Total Care — Medicaid: $35.62
  • Aetna — Medicare Advantage: $108.78
  • BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $84.66
  • BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $159.41
  • BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $84.66
  • BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $159.41
  • BlueCross BlueShield of South Carolina — State Health Plan: $148.42
  • Humana — Medicaid: $33.92
  • Molina — Medicaid: $33.92
  • Select Health — Medicaid: $33.92

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROCARDIOGRAM COMPLETE Not listed in the file Not listed in the file $16.54
Electrocardiogram (ECG/EKG) with reading: 10 of 25 insurance plan rates
  • Aetna — Medicare Advantage: $16.54
  • United Healthcare — All Other Plans: $393
  • United Healthcare — Exchange Plan: $225
  • United Healthcare — Options PPO: $500
  • Absolute Total Care — Medicaid: 20.83% (a percentage in the contract, not a dollar amount)
  • Aetna — ACA: 50% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna Whole Health: 50% (a percentage in the contract, not a dollar amount)
  • Aetna — ASA: 65.5% (a percentage in the contract, not a dollar amount)
  • Aetna — Commercial: 36.9% (a percentage in the contract, not a dollar amount)
  • Aetna — FH: 65.5% (a percentage in the contract, not a dollar amount)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY Not listed in the file $8,357.75 $2,936.54 – $27,498
Left heart catheterization (diagnostic): 10 of 42 insurance plan rates
  • Absolute Total Care — Marketplace: $4,975.16
  • Absolute Total Care — Medicaid: $3,083.37
  • Absolute Total Care — Medicare Advantage: $3,015.25
  • Absolute Total Care — MMP: $3,015.25
  • Aetna — Medicare Advantage: $3,015.25
  • BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $6,039.03
  • BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $11,371.79
  • BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $6,039.03
  • BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $11,371.79
  • BlueCross BlueShield of South Carolina — State Health Plan: $8,357.75
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROPHYSIOLOGY EVALUATION Not listed in the file $10,504.51 $1,339.05 – $20,236
Heart rhythm study (electrophysiology evaluation): 10 of 42 insurance plan rates
  • Absolute Total Care — Marketplace: $11,969.58
  • Absolute Total Care — Medicaid: $1,406
  • Absolute Total Care — Medicare Advantage: $7,254.29
  • Absolute Total Care — MMP: $7,254.29
  • Aetna — Medicare Advantage: $7,254.29
  • BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $7,589.86
  • BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $14,292.08
  • BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $7,589.86
  • BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $14,292.08
  • BlueCross BlueShield of South Carolina — State Health Plan: $10,504.51
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB Not listed in the file $21,314.75 $1,339.05 – $46,432.56
Heart rhythm study with ablation for atrial fibrillation: 10 of 42 insurance plan rates
  • Absolute Total Care — Marketplace: $40,111.90
  • Absolute Total Care — Medicaid: $1,406
  • Absolute Total Care — Medicare Advantage: $24,310.24
  • Absolute Total Care — MMP: $24,310.24
  • Aetna — Medicare Advantage: $24,310.24
  • BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $15,401.76
  • BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $29,002.24
  • BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $15,401.76
  • BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $29,002.24
  • BlueCross BlueShield of South Carolina — State Health Plan: $21,314.75
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOM 6/> YRS 4/> PARAM Not listed in the file $2,430.34 $361.45 – $3,674.85
Sleep study (overnight, in a sleep lab): 10 of 42 insurance plan rates
  • Absolute Total Care — Marketplace: $1,317.86
  • Absolute Total Care — Medicaid: $379.52
  • Absolute Total Care — Medicare Advantage: $798.70
  • Absolute Total Care — MMP: $798.70
  • Aetna — Medicare Advantage: $798.70
  • BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $1,951.55
  • BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $3,674.85
  • BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $1,951.55
  • BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $3,674.85
  • BlueCross BlueShield of South Carolina — State Health Plan: $2,430.34

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THERAPEUTIC EXERCISES Not listed in the file $38.40 $12.33 – $322
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 30 insurance plan rates
  • Absolute Total Care — Medicaid: $12.95
  • Aetna — Medicare Advantage: $20.83
  • BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $38.11
  • BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $71.76
  • BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $38.11
  • BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $71.76
  • BlueCross BlueShield of South Carolina — State Health Plan: $38.40
  • Cigna — HMOOPA: $235
  • Cigna — PPO: $322
  • Humana — Medicaid: $12.33
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEX 20 MIN Not listed in the file $102.22 $49.04 – $322
Physical therapy evaluation (low complexity): 10 of 30 insurance plan rates
  • Absolute Total Care — Medicaid: $51.49
  • Aetna — Medicare Advantage: $57.43
  • BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $51.90
  • BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $97.73
  • BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $51.90
  • BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $97.73
  • BlueCross BlueShield of South Carolina — State Health Plan: $102.22
  • Cigna — HMOOPA: $235
  • Cigna — PPO: $322
  • Humana — Medicaid: $49.04
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEX 30 MIN Not listed in the file $102.22 $49.04 – $322
Physical therapy evaluation (moderate complexity): 10 of 30 insurance plan rates
  • Absolute Total Care — Medicaid: $51.49
  • Aetna — Medicare Advantage: $57.43
  • BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $51.90
  • BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $97.73
  • BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $51.90
  • BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $97.73
  • BlueCross BlueShield of South Carolina — State Health Plan: $102.22
  • Cigna — HMOOPA: $235
  • Cigna — PPO: $322
  • Humana — Medicaid: $49.04
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEX 45 MIN Not listed in the file $102.22 $49.04 – $322
Physical therapy evaluation (high complexity): 10 of 30 insurance plan rates
  • Absolute Total Care — Medicaid: $51.49
  • Aetna — Medicare Advantage: $57.43
  • BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $51.90
  • BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $97.73
  • BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $51.90
  • BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $97.73
  • BlueCross BlueShield of South Carolina — State Health Plan: $102.22
  • Cigna — HMOOPA: $235
  • Cigna — PPO: $322
  • Humana — Medicaid: $49.04
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 30 MINUTES Not listed in the file $279.15 $165.08 – $379.31
Psychotherapy, 30 minutes: 10 of 42 insurance plan rates
  • Absolute Total Care — Marketplace: $272.38
  • Absolute Total Care — Medicare Advantage: $165.08
  • Absolute Total Care — MMP: $165.08
  • Aetna — Medicare Advantage: $165.08
  • BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $201.44
  • BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $379.31
  • BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $201.44
  • BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $379.31
  • BlueCross BlueShield of South Carolina — State Health Plan: $279.15
  • Cigna — HealthSpring: $170.03
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 45 MINUTES Not listed in the file $347.82 $165.08 – $472.56
Psychotherapy, 45 minutes: 10 of 42 insurance plan rates
  • Absolute Total Care — Marketplace: $272.38
  • Absolute Total Care — Medicare Advantage: $165.08
  • Absolute Total Care — MMP: $165.08
  • Aetna — Medicare Advantage: $165.08
  • BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $250.96
  • BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $472.56
  • BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $250.96
  • BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $472.56
  • BlueCross BlueShield of South Carolina — State Health Plan: $347.82
  • Cigna — HealthSpring: $170.03
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 60 MINUTES Not listed in the file $347.82 $165.08 – $472.56
Psychotherapy, 60 minutes: 10 of 42 insurance plan rates
  • Absolute Total Care — Marketplace: $272.38
  • Absolute Total Care — Medicare Advantage: $165.08
  • Absolute Total Care — MMP: $165.08
  • Aetna — Medicare Advantage: $165.08
  • BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $250.96
  • BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $472.56
  • BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $250.96
  • BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $472.56
  • BlueCross BlueShield of South Carolina — State Health Plan: $347.82
  • Cigna — HealthSpring: $170.03
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/O PT 50 MIN Not listed in the file $529.49 $165.08 – $719.92
Family psychotherapy, without the patient: 10 of 42 insurance plan rates
  • Absolute Total Care — Marketplace: $272.38
  • Absolute Total Care — Medicare Advantage: $165.08
  • Absolute Total Care — MMP: $165.08
  • Aetna — Medicare Advantage: $165.08
  • BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $382.32
  • BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $719.92
  • BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $382.32
  • BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $719.92
  • BlueCross BlueShield of South Carolina — State Health Plan: $529.49
  • Cigna — HealthSpring: $170.03
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/PT 50 MIN Not listed in the file $529.49 $165.08 – $719.92
Family psychotherapy, with the patient: 10 of 42 insurance plan rates
  • Absolute Total Care — Marketplace: $272.38
  • Absolute Total Care — Medicare Advantage: $165.08
  • Absolute Total Care — MMP: $165.08
  • Aetna — Medicare Advantage: $165.08
  • BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $382.32
  • BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $719.92
  • BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $382.32
  • BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $719.92
  • BlueCross BlueShield of South Carolina — State Health Plan: $529.49
  • Cigna — HealthSpring: $170.03
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP PSYCHOTHERAPY Not listed in the file $208.25 $94.49 – $283.82
Group psychotherapy: 10 of 42 insurance plan rates
  • Absolute Total Care — Marketplace: $155.91
  • Absolute Total Care — Medicare Advantage: $94.49
  • Absolute Total Care — MMP: $94.49
  • Aetna — Medicare Advantage: $94.49
  • BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $150.73
  • BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $283.82
  • BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $150.73
  • BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $283.82
  • BlueCross BlueShield of South Carolina — State Health Plan: $208.25
  • Cigna — HealthSpring: $97.32

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION Not listed in the file $4,572.67 $822.23 – $11,043
Removal of breast growth (open surgery): 10 of 42 insurance plan rates
  • Absolute Total Care — Marketplace: $6,008.74
  • Absolute Total Care — Medicaid: $863.34
  • Absolute Total Care — Medicare Advantage: $3,641.66
  • Absolute Total Care — MMP: $3,641.66
  • Aetna — Medicare Advantage: $3,641.66
  • BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $3,671.50
  • BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $6,913.61
  • BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $3,671.50
  • BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $6,913.61
  • BlueCross BlueShield of South Carolina — State Health Plan: $4,572.67
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY Not listed in the file $27,052.48 $938.18 – $27,052.48
Total hip replacement: 10 of 42 insurance plan rates
  • Absolute Total Care — Marketplace: $19,702.60
  • Absolute Total Care — Medicaid: $985.09
  • Absolute Total Care — Medicare Advantage: $11,940.97
  • Absolute Total Care — MMP: $11,940.97
  • Aetna — Medicare Advantage: $11,940.97
  • BlueCross BlueShield of South Carolina — State Health Plan: $27,052.48
  • Cigna — HealthSpring: $12,299.20
  • Cigna — HMOOPA: $6,953
  • Cigna — PPO: $7,646
  • Clover Insurance Company — HMO MA: $12,418.61
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY Not listed in the file $21,564.37 $1,038.17 – $22,807.25
Total knee replacement: 10 of 42 insurance plan rates
  • Absolute Total Care — Marketplace: $19,702.60
  • Absolute Total Care — Medicaid: $1,090.08
  • Absolute Total Care — Medicare Advantage: $11,940.97
  • Absolute Total Care — MMP: $11,940.97
  • Aetna — Medicare Advantage: $11,940.97
  • BlueCross BlueShield of South Carolina — State Health Plan: $21,564.37
  • Cigna — HealthSpring: $12,299.20
  • Cigna — HMOOPA: $6,953
  • Cigna — PPO: $7,646
  • Clover Insurance Company — HMO MA: $12,418.61
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHO ARTHRS SRG DECOMPRESSION Not listed in the file Not listed in the file $202.38 – $15,836.80
Shoulder arthroscopy: shaving of shoulder bone: 10 of 29 insurance plan rates
  • Absolute Total Care — Medicaid: $1,665.02
  • Aetna — Medicare Advantage: $202.38
  • BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $8,410.20
  • BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $15,836.80
  • BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $8,410.20
  • BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $15,836.80
  • Cigna — HMOOPA: $10,036
  • Cigna — PPO: $11,043
  • Humana — Medicaid: $1,585.73
  • Molina — Medicaid: $1,585.73
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KNEE ARTHROSCOPY/SURGERY Not listed in the file $3,614.35 $1,585.73 – $11,060
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 42 insurance plan rates
  • Absolute Total Care — Marketplace: $5,021.31
  • Absolute Total Care — Medicaid: $1,665.02
  • Absolute Total Care — Medicare Advantage: $3,043.22
  • Absolute Total Care — MMP: $3,043.22
  • Aetna — Medicare Advantage: $3,043.22
  • BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $5,026.60
  • BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $9,465.32
  • BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $5,026.60
  • BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $9,465.32
  • BlueCross BlueShield of South Carolina — State Health Plan: $3,614.35
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS Not listed in the file $2,230.62 $1,339.05 – $11,043
Removal of tonsils and adenoids (under age 12): 10 of 42 insurance plan rates
  • Absolute Total Care — Marketplace: $9,084.74
  • Absolute Total Care — Medicaid: $1,406
  • Absolute Total Care — Medicare Advantage: $5,505.90
  • Absolute Total Care — MMP: $5,505.90
  • Aetna — Medicare Advantage: $5,505.90
  • BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $3,807.34
  • BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $7,169.42
  • BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $3,807.34
  • BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $7,169.42
  • BlueCross BlueShield of South Carolina — State Health Plan: $2,230.62
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD DIAGNOSTIC BRUSH WASH Not listed in the file $759.47 $759.47 – $2,843
Upper GI endoscopy (diagnostic): 10 of 42 insurance plan rates
  • Absolute Total Care — Marketplace: $1,391.89
  • Absolute Total Care — Medicaid: $863.34
  • Absolute Total Care — Medicare Advantage: $843.57
  • Absolute Total Care — MMP: $843.57
  • Aetna — Medicare Advantage: $843.57
  • BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $1,478.61
  • BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $2,784.30
  • BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $1,478.61
  • BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $2,784.30
  • BlueCross BlueShield of South Carolina — State Health Plan: $759.47
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD BIOPSY SINGLE/MULTIPLE Not listed in the file $832.93 $832.93 – $8,104
Upper GI endoscopy with biopsy: 10 of 42 insurance plan rates
  • Absolute Total Care — Marketplace: $1,391.89
  • Absolute Total Care — Medicaid: $1,406
  • Absolute Total Care — Medicare Advantage: $843.57
  • Absolute Total Care — MMP: $843.57
  • Aetna — Medicare Advantage: $843.57
  • BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $1,478.61
  • BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $2,784.30
  • BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $1,478.61
  • BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $2,784.30
  • BlueCross BlueShield of South Carolina — State Health Plan: $832.93
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY Not listed in the file $832.93 $822.23 – $8,104
Colonoscopy (diagnostic): 10 of 42 insurance plan rates
  • Absolute Total Care — Marketplace: $1,427.13
  • Absolute Total Care — Medicaid: $863.34
  • Absolute Total Care — Medicare Advantage: $864.93
  • Absolute Total Care — MMP: $864.93
  • Aetna — Medicare Advantage: $864.93
  • BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $1,536
  • BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $2,892.36
  • BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $1,536
  • BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $2,892.36
  • BlueCross BlueShield of South Carolina — State Health Plan: $832.93
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY Not listed in the file $832.93 $822.23 – $8,104
Colonoscopy with biopsy: 10 of 42 insurance plan rates
  • Absolute Total Care — Marketplace: $1,836.40
  • Absolute Total Care — Medicaid: $863.34
  • Absolute Total Care — Medicare Advantage: $1,112.97
  • Absolute Total Care — MMP: $1,112.97
  • Aetna — Medicare Advantage: $1,112.97
  • BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $1,382.39
  • BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $2,603.10
  • BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $1,382.39
  • BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $2,603.10
  • BlueCross BlueShield of South Carolina — State Health Plan: $832.93
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/LESION REMOVAL Not listed in the file $832.93 $832.93 – $8,104
Colonoscopy with removal of polyps (snare): 10 of 42 insurance plan rates
  • Absolute Total Care — Marketplace: $1,836.40
  • Absolute Total Care — Medicaid: $1,406
  • Absolute Total Care — Medicare Advantage: $1,112.97
  • Absolute Total Care — MMP: $1,112.97
  • Aetna — Medicare Advantage: $1,112.97
  • BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $1,536
  • BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $2,892.36
  • BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $1,536
  • BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $2,892.36
  • BlueCross BlueShield of South Carolina — State Health Plan: $832.93
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US Not listed in the file $840.87 $822.23 – $8,104
Ultrasound of the lower bowel by endoscope: 10 of 42 insurance plan rates
  • Absolute Total Care — Marketplace: $1,836.40
  • Absolute Total Care — Medicaid: $863.34
  • Absolute Total Care — Medicare Advantage: $1,112.97
  • Absolute Total Care — MMP: $1,112.97
  • Aetna — Medicare Advantage: $1,112.97
  • BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $1,382.39
  • BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $2,603.10
  • BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $1,382.39
  • BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $2,603.10
  • BlueCross BlueShield of South Carolina — State Health Plan: $840.87
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLON CA SCRN NOT HI RSK IND Not listed in the file $1,127.78 $822.23 – $8,104
Screening colonoscopy (not high risk): 10 of 42 insurance plan rates
  • Absolute Total Care — Marketplace: $1,427.13
  • Absolute Total Care — Medicaid: $863.34
  • Absolute Total Care — Medicare Advantage: $864.93
  • Absolute Total Care — MMP: $864.93
  • Aetna — Medicare Advantage: $864.93
  • BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $1,229.53
  • BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $2,315.27
  • BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $1,229.53
  • BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $2,315.27
  • BlueCross BlueShield of South Carolina — State Health Plan: $1,127.78
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY Not listed in the file $6,899.93 $822.23 – $21,424
Gallbladder removal by laparoscope: 10 of 42 insurance plan rates
  • Absolute Total Care — Marketplace: $9,277.64
  • Absolute Total Care — Medicaid: $863.34
  • Absolute Total Care — Medicare Advantage: $5,622.81
  • Absolute Total Care — MMP: $5,622.81
  • Aetna — Medicare Advantage: $5,622.81
  • BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $7,916.09
  • BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $14,906.37
  • BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $7,916.09
  • BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $14,906.37
  • BlueCross BlueShield of South Carolina — State Health Plan: $6,899.93
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRP I/HERN INIT REDUC >5 YR Not listed in the file $1,925.78 $1,339.05 – $11,060
Groin (inguinal) hernia repair, age 5 or older: 10 of 42 insurance plan rates
  • Absolute Total Care — Marketplace: $5,494.58
  • Absolute Total Care — Medicaid: $1,406
  • Absolute Total Care — Medicare Advantage: $3,330.05
  • Absolute Total Care — MMP: $3,330.05
  • Aetna — Medicare Advantage: $3,330.05
  • BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $5,410.74
  • BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $10,188.69
  • BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $5,410.74
  • BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $10,188.69
  • BlueCross BlueShield of South Carolina — State Health Plan: $1,925.78
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE Not listed in the file $872.90 $163 – $8,104
Prostate biopsy: 10 of 30 insurance plan rates
  • Absolute Total Care — Medicaid: $863.34
  • Aetna — Medicare Advantage: $163
  • BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $1,776
  • BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $3,344.29
  • BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $1,776
  • BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $3,344.29
  • BlueCross BlueShield of South Carolina — State Health Plan: $872.90
  • Cigna — HMOOPA: $7,370
  • Cigna — PPO: $8,104
  • Humana — Medicaid: $822.23
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPS SURG PRST8ECT RPBIC RAD Not listed in the file $12,766.47 $1,204 – $18,883.35
Prostate removal by laparoscope (radical prostatectomy): 10 of 42 insurance plan rates
  • Absolute Total Care — Marketplace: $16,312.84
  • Absolute Total Care — Medicaid: $1,264.20
  • Absolute Total Care — Medicare Advantage: $9,886.57
  • Absolute Total Care — MMP: $9,886.57
  • Aetna — Medicare Advantage: $9,886.57
  • BlueCross BlueShield of South Carolina — State Health Plan: $12,766.47
  • Cigna — HealthSpring: $10,183.17
  • Cigna — HMOOPA: $12,617
  • Cigna — PPO: $17,221
  • Clover Insurance Company — HMO MA: $10,282.03
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY Not listed in the file $1,771.80 $822.23 – $11,043
Hysteroscopy with biopsy of the uterus lining: 10 of 42 insurance plan rates
  • Absolute Total Care — Marketplace: $4,967.79
  • Absolute Total Care — Medicaid: $863.34
  • Absolute Total Care — Medicare Advantage: $3,010.78
  • Absolute Total Care — MMP: $3,010.78
  • Aetna — Medicare Advantage: $3,010.78
  • BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $3,511.92
  • BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $6,613.11
  • BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $3,511.92
  • BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $6,613.11
  • BlueCross BlueShield of South Carolina — State Health Plan: $1,771.80
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: INJ EPID LUMB/CAUD $1,837 $795.91 $184.41 – $2,843
Spinal injection, lower back (epidural), with imaging guidance: 10 of 42 insurance plan rates
  • Absolute Total Care — Marketplace: $1,083.26
  • Absolute Total Care — Medicaid: $193.63
  • Absolute Total Care — Medicare Advantage: $656.52
  • Absolute Total Care — MMP: $656.52
  • Aetna — ACA: $918.50
  • Aetna — Aetna Whole Health: $918.50
  • Aetna — ASA: $1,203.23
  • Aetna — Commercial: $677.85
  • Aetna — FH: $1,203.23
  • Aetna — Medicare Advantage: $656.52
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX INTERLAMINAR LMBR/SAC Not listed in the file Not listed in the file $689 – $1,534
Spinal injection, lower back (epidural), with imaging guidance: rates for 3 insurance plans
  • United Healthcare — All Other Plans: $1,205
  • United Healthcare — Exchange Plan: $689
  • United Healthcare — Options PPO: $1,534
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: INJ ANESTH LUMB/CAUD SGL $4,276 $795.91 $293.65 – $3,848.40
Nerve root injection, lower back, with imaging guidance: 10 of 42 insurance plan rates
  • Absolute Total Care — Marketplace: $1,357.34
  • Absolute Total Care — Medicaid: $308.33
  • Absolute Total Care — Medicare Advantage: $822.63
  • Absolute Total Care — MMP: $822.63
  • Aetna — ACA: $2,138
  • Aetna — Aetna Whole Health: $2,138
  • Aetna — ASA: $2,800.78
  • Aetna — Commercial: $1,577.84
  • Aetna — FH: $2,800.78
  • Aetna — Medicare Advantage: $822.63
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX AA&/STRD TFRM EPI L/S 1 Not listed in the file Not listed in the file $689 – $1,534
Nerve root injection, lower back, with imaging guidance: rates for 3 insurance plans
  • United Healthcare — All Other Plans: $1,205
  • United Healthcare — Exchange Plan: $689
  • United Healthcare — Options PPO: $1,534
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY Not listed in the file $872.90 $872.90 – $8,104
Carpal tunnel release: 10 of 42 insurance plan rates
  • Absolute Total Care — Marketplace: $2,996.71
  • Absolute Total Care — Medicaid: $1,406
  • Absolute Total Care — Medicare Advantage: $1,816.19
  • Absolute Total Care — MMP: $1,816.19
  • Aetna — Medicare Advantage: $1,816.19
  • BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $3,163.25
  • BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $5,956.56
  • BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $3,163.25
  • BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $5,956.56
  • BlueCross BlueShield of South Carolina — State Health Plan: $872.90
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AFTER CATARACT LASER SURGERY Not listed in the file $872.90 $511.54 – $8,104
Laser treatment of clouding after cataract surgery: 10 of 42 insurance plan rates
  • Absolute Total Care — Marketplace: $844.04
  • Absolute Total Care — Medicaid: $1,406
  • Absolute Total Care — Medicare Advantage: $511.54
  • Absolute Total Care — MMP: $511.54
  • Aetna — Medicare Advantage: $511.54
  • BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $899.67
  • BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $1,694.12
  • BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $899.67
  • BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $1,694.12
  • BlueCross BlueShield of South Carolina — State Health Plan: $872.90
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP Not listed in the file $2,145.30 $2,145.30 – $11,864
Cataract removal with lens implant: 10 of 42 insurance plan rates
  • Absolute Total Care — Marketplace: $3,541.66
  • Absolute Total Care — Medicaid: $3,083.37
  • Absolute Total Care — Medicare Advantage: $2,146.46
  • Absolute Total Care — MMP: $2,146.46
  • Aetna — Medicare Advantage: $2,146.46
  • BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $4,151.77
  • BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $7,817.99
  • BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $4,151.77
  • BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $7,817.99
  • BlueCross BlueShield of South Carolina — State Health Plan: $2,145.30

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRICAL CARE Not listed in the file Not listed in the file $2,150 – $7,646
Vaginal delivery, with care before and after: 10 of 31 insurance plan rates
  • Aetna — Medicare Advantage: $2,150
  • Cigna — HMOOPA: $6,953
  • Cigna — PPO: $7,646
  • Absolute Total Care — Medicaid: 20.83% (a percentage in the contract, not a dollar amount)
  • Aetna — ACA: 50% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna Whole Health: 50% (a percentage in the contract, not a dollar amount)
  • Aetna — ASA: 65.5% (a percentage in the contract, not a dollar amount)
  • Aetna — Commercial: 36.9% (a percentage in the contract, not a dollar amount)
  • Aetna — FH: 65.5% (a percentage in the contract, not a dollar amount)
  • Aetna — NAP: 65.5% (a percentage in the contract, not a dollar amount)
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CESAREAN DELIVERY Not listed in the file Not listed in the file $2,150 – $7,646
Cesarean delivery (C-section), with care before and after: 10 of 31 insurance plan rates
  • Aetna — Medicare Advantage: $2,150
  • Cigna — HMOOPA: $6,953
  • Cigna — PPO: $7,646
  • Absolute Total Care — Medicaid: 20.83% (a percentage in the contract, not a dollar amount)
  • Aetna — ACA: 50% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna Whole Health: 50% (a percentage in the contract, not a dollar amount)
  • Aetna — ASA: 65.5% (a percentage in the contract, not a dollar amount)
  • Aetna — Commercial: 36.9% (a percentage in the contract, not a dollar amount)
  • Aetna — FH: 65.5% (a percentage in the contract, not a dollar amount)
  • Aetna — NAP: 65.5% (a percentage in the contract, not a dollar amount)
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VBAC DELIVERY Not listed in the file Not listed in the file $2,150 – $7,646
Vaginal delivery after a previous C-section, with care before and after: 10 of 31 insurance plan rates
  • Aetna — Medicare Advantage: $2,150
  • Cigna — HMOOPA: $6,953
  • Cigna — PPO: $7,646
  • Absolute Total Care — Medicaid: 20.83% (a percentage in the contract, not a dollar amount)
  • Aetna — ACA: 50% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna Whole Health: 50% (a percentage in the contract, not a dollar amount)
  • Aetna — ASA: 65.5% (a percentage in the contract, not a dollar amount)
  • Aetna — Commercial: 36.9% (a percentage in the contract, not a dollar amount)
  • Aetna — FH: 65.5% (a percentage in the contract, not a dollar amount)
  • Aetna — NAP: 65.5% (a percentage in the contract, not a dollar amount)

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC Not listed in the file $146,796.18 $72,212.81 – $324,055.25
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 38 insurance plan rates
  • Absolute Total Care — Marketplace: $126,372.42
  • Absolute Total Care — Medicare Advantage: $72,212.81
  • Absolute Total Care — MMP: $72,212.81
  • Aetna — Medicare Advantage: $72,212.81
  • BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $101,274.53
  • BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $181,525.26
  • BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $101,274.53
  • BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $181,525.26
  • BlueCross BlueShield of South Carolina — State Health Plan: $146,796.18
  • Cigna — HealthSpring: $74,379.19
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file $28,084.93 $14,238.39 – $63,894.81
Hip or knee replacement (major joint of the leg), without major complications: 10 of 38 insurance plan rates
  • Absolute Total Care — Marketplace: $24,917.18
  • Absolute Total Care — Medicare Advantage: $14,238.39
  • Absolute Total Care — MMP: $14,238.39
  • Aetna — Medicare Advantage: $14,238.39
  • BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $21,659.49
  • BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $38,822.64
  • BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $21,659.49
  • BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $38,822.64
  • BlueCross BlueShield of South Carolina — State Health Plan: $28,084.93
  • Cigna — HealthSpring: $14,665.54
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file $31,975.05 $18,020.72 – $80,868.06
Neck (cervical) spinal fusion, without complications: 10 of 38 insurance plan rates
  • Absolute Total Care — Marketplace: $31,536.26
  • Absolute Total Care — Medicare Advantage: $18,020.72
  • Absolute Total Care — MMP: $18,020.72
  • Aetna — Medicare Advantage: $18,020.72
  • BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $18,607.17
  • BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $33,351.64
  • BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $18,607.17
  • BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $33,351.64
  • BlueCross BlueShield of South Carolina — State Health Plan: $31,975.05
  • Cigna — HealthSpring: $18,561.34
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file $16,953.06 $8,691.95 – $41,098.19
Uterus and ovary surgery (not for cancer), without complications: 10 of 38 insurance plan rates
  • Absolute Total Care — Marketplace: $16,027.13
  • Absolute Total Care — Medicare Advantage: $9,158.36
  • Absolute Total Care — MMP: $9,158.36
  • Aetna — Medicare Advantage: $9,158.36
  • BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $8,691.95
  • BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $15,579.52
  • BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $8,691.95
  • BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $15,579.52
  • BlueCross BlueShield of South Carolina — State Health Plan: $16,953.06
  • Cigna — HealthSpring: $9,433.11

Source: Novant Health East Cooper Medical Center’s standard charges file (www2.novanthealth.org, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 12, 2026; retrieved November 5, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital typeAcute Care Hospital
Address2000 Hospital Dr, Mount Pleasant, SC 29464
CountyCharleston County
StateSouth Carolina
Phone(843) 881‑0100
Emergency servicesYes
OwnershipProprietary
Medicare overall rating4 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number420089
Name in Medicare recordsNOVANT HEALTH EAST COOPER MEDICAL CENTER
Profile levelMedicare data + hospital website
Official websitenovanthealth.org
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-11-02.

  1. East Cooper Medical Center | Novant Health — novanthealth.org
  2. About | East Cooper Medical Center | Novant Health — novanthealth.org
  3. Emergency Medical Services & Trauma Services | Novant Health — novanthealth.org
  4. Maternity | East Cooper Medical Center | Novant Health — novanthealth.org
  5. Inpatient Rehabilitation | East Cooper Medical Center — novanthealth.org
  6. Awards & Recognition | Novant Health | Newsroom — novanthealth.org
  7. Patients | East Cooper Medical Center | Novant Health — novanthealth.org